Coverage with in-network and out-of-network dentists.

Overview

When you have the Dental PPO plan, in-network dentists provide dental services at a reduced rate. You have higher out-of-pocket costs for services received from out-of-network dentists.

How it works

When you see an in-network provider, you benefit from our negotiated discounts on covered services and have more coverage with higher coinsurance.

The plan covers a variety of preventive, basic, and major services. Some plans include orthodontia coverage. If your plan doesn’t include orthodontia benefits, you may still receive up to a 20% savings by visiting orthodontists in our network and asking for the discount.*

Plan tools

  • MyHumana tools
  • Dentist Finder
  • Refer a Dentist
  • Proof of Coverage
  • My Dental IQSM
  • Dental glossary
  • BrushUp newsletter

*Not applicable in the state of Georgia.

How it works

With this plan, you can go to any dentist. However, to get the maximum benefits at the lowest cost, visit an in-network dentist. If your dentist isn't in the network, you still receive benefits - but you'll pay higher out-of-pocket costs for the dental services.

Here's an overview of what this plan covers. Deductibles and coverage amounts vary by plan. To see your specific plan benefit details, log in to MyHumana. Be sure to review your plan certificate for important plan information such as deductibles or required waiting periods.

  • Preventive services - Oral examinations, X-rays, cleanings, topical fluoride treatment (through age 14, one per calendar year), and sealants (through age 14)
  • Basic services - Space maintainers (through age 14), emergency care for pain relief, simple oral surgery, extractions, fillings (amalgams, composite for anterior teeth), appliances for children (through age 14), and prefabricated stainless steel crowns
  • Major services - Crowns, inlays and onlays, bridgework, dentures, denture relines and rebases, denture repair and adjustments, complete oral surgery, periodontics (gum therapy), and endodontics (root canals)

Some plans include orthodontia coverage, as well. Coverage may be available for child orthodontia only or adult and child orthodontia. Even if your plan doesn’t include orthodontia benefits, you may still receive up to a 20% savings by visiting orthodontists in our network and asking for the discount.*

In addition, your employe's plan may include optional benefits. Here's an overview of all possible options:

  • Periodontics/Endodontics as a basic service
  • Composite fillings for molars as a basic service
  • Implants as a major service; there's a $1,500 maximum implant benefit and implants are subject to the annual maximum

*Not applicable in the state of Georgia.

Plan tools

Here are some Humana tools that may be useful to members who have a HumanaDental plan.

MyHumana tools

Visit your secure Website on Humana.com to:

  • View details about your dental plan
  • Get details about your dental claims
  • Check estimates and authorizations

To access these tools and more, Log in to MyHumana. If you haven't signed up for your secure Website yet, Register for MyHumana today.

Dentist Finder

Use the online directory to explore the providers who participate in Humana's network. Dentist Finder

Refer a Dentist

Is your dentist missing from our network? Help us get your dentist on our participation list. Refer a Dentist

My Dental IQSM

The dental health risk assessment immediately rates your dental health knowledge and delivers a personalized action plan with health tips. Print a copy of the scorecard to discuss with your dentist. My Dental IQ

Dental glossary

Dental Insurance terminology sometimes sounds like a foreign language. At Humana, we make it easy. See Health Glossary

BrushUp newsletter

The BrushUp newsletter focuses on dental benefits and dental hygiene. BrushUp Newsletter

Additional Tools

For additional tools and resources to help you make informed decisions about your dental insurance visit HumanaDental.com